دورية أكاديمية

Is fear of pain related to placebo analgesia?

التفاصيل البيبلوغرافية
العنوان: Is fear of pain related to placebo analgesia?
المؤلفون: Lyby, Peter Solvoll peterl@psyk.uit.no, Aslaksen, Per M.1, Flaten, Magne Arve1
المصدر: Journal of Psychosomatic Research. Apr2010, Vol. 68 Issue 4, p369-377. 9p.
مصطلحات موضوعية: *PAIN perception, *PLACEBOS, *ANALGESIA, *ANXIETY, *ATTENTION, *PAIN measurement, *HEALTH expectancy
مستخلص: Abstract: Objective: Verbal information that a painkiller has been administered generates an expectation of pain relief which in turn decreases pain. This expectation-based pain reduction is termed placebo analgesia. We hypothesized that fear of pain would be related to higher stress and pain intensity and to reduced placebo analgesia. Methods: Sixty-three students (30 females) participated in a Two-Condition (placebo, natural history)×Five-Test (one pretest, four post-tests) within-subjects design. Heat pain was induced by a 30×30-mm contact thermode to the medial volar forearm. Each pain test lasted for 4 min at a temperature of 46°C. Stress, arousal, and pain intensity and pain unpleasantness were rated on 100-mm visual analogue scales. Results: Fear of pain was related to higher anticipatory stress and to higher stress and pain intensity during pain. Fear of pain was also related to reduced placebo analgesic responding. Conclusion: Fear of pain was positively related to stress both during pain and in the anticipation of pain, and negatively related to placebo analgesia. Previous research has indicated a role for increased stress in the nocebo response, and the present findings suggest that decreased stress may strengthen the placebo response. [Copyright &y& Elsevier]
قاعدة البيانات: Academic Search Index
الوصف
تدمد:00223999
DOI:10.1016/j.jpsychores.2009.10.009